Native Americans and Alaska Natives are known to have considerably very high rates of substance abuse and addiction than other ethnicities, an a circumstance which has to be addressed for these people to endure. Although the causes may vary from individual to individual, many of the factors for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the country. The most obvious hurdles to helping Native Americans and Alaska Natives for drug addiction are cultural ones and their language. Due to this it is crucial that Native Americans and Alaska Natives in Howes, SD. obtain rehab treatment in an alcohol and drug treatment program that is culturally acceptable, and more importantly in one that understand the need to supply drug and alcohol rehab in their native tongue.